Thought suppression failures in combat PTSD: a cognitive load hypothesis

Behav Res Ther. 2009 Sep;47(9):744-51. doi: 10.1016/j.brat.2009.06.006. Epub 2009 Jun 21.

Abstract

The present study investigated the relation between thought suppression of emotionally neutral content [i.e., Wegner's (1994) "white bear"], incidental traumatic thought intrusion, and skin conductance responses in combat-related Posttraumatic Stress Disorder (PTSD). Participants included service members who either: a) had PTSD following an Operation Iraqi Freedom deployment; b) were free of psychiatric diagnosis following deployment (Combat Equivalent), or c) were pre-deployed and without psychiatric diagnosis (Pre-Deployed). PTSD Service Members reported the greatest intrusion of combat thoughts during the suppression task and demonstrated a post-suppression rebound effect with a neutral thought. Non-specific skin conductance responses indicated that the suppression task was related to similar levels of increased sympathetic activity for both the PTSD and Pre-Deployed groups, whereas the Combat Equivalent group showed no increased activation during thought suppression. Intrusive traumatic thoughts combined with failures in neutral thought suppression may be a consequence of increased cognitive load in PTSD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cognition / physiology*
  • Emotions / physiology
  • Galvanic Skin Response / physiology
  • Humans
  • Iraq War, 2003-2011
  • Male
  • Military Personnel / psychology*
  • Repression, Psychology*
  • Social Control, Informal*
  • Stress Disorders, Post-Traumatic / physiopathology
  • Stress Disorders, Post-Traumatic / psychology*
  • Thinking / physiology*